Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | OS13762 | FL |
Y | 208000000X | Pediatrician | OS13762 | FL |
NPI | 1255706420 |
---|---|
Provider Name | Dr. Katherine Margarita Lens |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2015 |
Last Update Date | 19/07/2018 |